Which class are you interested inRestorative Fridays 11.00-12.00Restorative Wednesdays Knutsford & Zoom 20.15-21.45One to oneOther
Are you currently doing any sport or type of exercise?YesNo
If yes which
Why have you come to Yoga and what do you hope to gain from it?
Have you done Yoga before?YesNo
If yes, how long have you been practising for?
Have you ever practiced Pilates/Tai Chi/etc?YesNo
If yes, which?
Are you currently taking any form of medication?YesNo
If yes, please give details
Please give details of any medical conditions which might affect your Yoga practice
Have you suffered any injury or undergone any surgery (i.e. cesarean section, knee surgery, etc) which might affect your Yoga practice? If so, please give details
Do you have any allergies or dietary requirements:YesNo
If yes, what kind
How did you hear about the class?
Would you like to keep in touch with Maryline's news on workshops, classes, audio and video materials? If yes, we'll add you to our mailing list. Your details won't be shared with anyone else.YesNo
Responsibility for my health - Online and In-personBy ticking this box I declare that as far as I am aware, I have disclosed to Yoga with Maryline all information regarding my health relevant to the practice of yoga and/or meditation. I take full responsibility over the health of myself in the yoga sessions (face-to-face or online) and for all applications of yoga I may practice outside the classes both now and in the future. I understand that any uses to which the recommendations, ideas and techniques are put are at my sole discretion and risk. Should there be any medical changes I will consult my doctor and inform Maryline as my yoga teacher
Covid 19 - In-person classesBy ticking this box I declare that I have read, understood and agree to abide by YogaSpirits Covid-19 policy and any updates as advised (link in website footer) I confirm that I attend classes entirely at my own risk and I hereby release, waive, discharge Yoga with Maryline from any and all liabilities, claims, demands, actions, and causes of action whatsoever, directly or indirectly arising out of or related to any loss, damage, injury, or death, that may be sustained by me related to COVID-19 while participating in any Yoga with Maryline activity that may lead to unintentional exposure or harm due to COVID-19.
Photography and Video - In-person classesFrom time to time photographs and video footage of classes may be taken for use in my marketing. No compensation or fee may be claimed for this usage, and permission is always asked at the time.
Yes by ticking this box I consent to photos of myself (and where applicable my baby) being used in films and photographs in any and all media, now or at any time in the future.No by ticking this box I do not consent to photos of myself (and where applicable my baby) being used in films and photographs in any and all media, now or at any time in the future
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